Application Form to the Business Plan Competition France 2016

Note

CONTEST CLOSED.
Due date for application was 22 apr. 2016

PREAMBLE

APPLICATION PROCESS

The application is opened until April 15th 2016.

The timeline is as follows

 April 15th Closing date of the applications
 May 4th Release of the list of the 25 candidates
 By May 31st Pitch preparation & review of the acceleration plan
 By May 31th  Pitch with EIT Health France
 By June 7th  Anouncement of the 7 laureates
June – October Signature of the agreement
Nailing down and delivery of the acceleration Plan
Selection for pitch at EIT annual summit
End of November Pitch at EIT annual summit in front of Investors and Large Groups

JUST BEFORE STARTING…

Why should you apply for this contest ?

  • EIT Health’s mission is to support the global innovation answering the three key EU societal challenges :
  • Promote Healthy Living
  • Support Active Ageing
  • Improve Healhcare
  • The innovation can be a product and/or a service in Biotechnology, Medical Technology or Digital Health
  • The contest is open to recently incorporated startups up to SME’s, member of a cluster or not

How do we select the 25 candidates ?

All applicants fill the same form in on line ( see hereafter)
The contest is clearly driven by the societal impact of your innovation, your first results, your growth potential and the leverage effect of the Business Plan Contest for the acceleration of your execution plan

What do you get ?

  • For the 7 laureates , vouchers up to 50 K€ to finance expertise and access to ressources
  • For the 25 candidates, access to EIT Health French and European ecosystem of partners dedicated to Health

What’s next ?

If you have a detailed teaser or Business Plan, just make sure THAT ALL INFORMATION REQUESTED hereafter ARE AVAILABLE.

DOWNLOAD THE APPLICATION FORM TO PREPARE YOUR ANSWERS

If such document is uncomplete, JUST FILL THE MISSING PART of the application form

If your application in uncomplete, you take the risk to be rejected


COMPLETE THE FORM BELOW TO APPLY

Note

CONTEST CLOSED.
Due date for application was 22 apr. 2016

Download form PDF

PLEASE NOTE

All fields marked with * are required

 

1 UPLOAD YOUR TEASER OR BUSINESS PLAN

File Size : 50Mo max. || File Types : pdf|doc|docx|ppt|pptx|odt|avi|m4a|mov|mp4|mpg

Headquarter address

REMINDER

Your HQ MUST be located in Ile de France or Rhône Alpes regions.


2 GENERAL INFORMATION

 Yes No (Please fill the fields below)

 No Yes (Fill the fields below)

 Cap Digital Lyon Biopôle Medicen Minalogic Silver Valley Systematic None


3 WHO WILL BE THE CONTACT PERSON FOR THIS CONTEST ?


4 BUSINESS PROFILE

 Yes No (Please fill the fields below)

 Biotechnologies Medical Technologies / Medical Devices Digital Health / E-Health Other solutions for healthy living & active ageing



5 DEVELOPMENT STAGE & PLAN

 Yes No (Please fill the fields below)

 First Sales Prototype CE Label One product in pre clinical stage 1

What is your timeline for your Go To Market development roadmap ?

 Already done (T0) TO+6 months TO+12 months TO+18 months TO+24 months
 Already done (T0) TO+6 months TO+12 months TO+18 months TO+24 months
 Already done (T0) TO+6 months TO+12 months TO+18 months TO+24 months
 Already done (T0) TO+6 months TO+12 months TO+18 months TO+24 months

Give corresponding figures in k€ or numbers

2014 2015 2016 2017 f 2018 f
Domestic sales
International Sales
Number of customers
EBITDA
Capital raised & ro be raised (excluding founders)
Staff (EFTE)

6 YOUR ACCELERATION NEEDS

Reminder :EIT Health grant up to 50 K€ to support your phase 2 to 3 acceleration based on the strategy roadmap as described in your application response. The following diagram shows the general scope covered.

How do you need to use the grant ? (this is a non exhaustive list of examples) - ANSWER MANDATORY

Strat_Business development strategy definition  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Strat_Commercial Action Plan  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Finance_Business Plan & Pitching  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Finance_360 financing engineering  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Offer_IP Management  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Offer_Regulation impact & Compliance  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Offer_Product validation in test bed  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Offer_GoToMarket partnerships  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Offer_Technology Partnerships  Priority 1 Priority 2 Expertise source identified Expertise source not identified
HR_Recruitment & HR Management  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Indus_Pre series  Priority 1 Priority 2 Expertise source identified Expertise source not identified
Techno_Strategy roadmap  Priority 1 Priority 2 Expertise source identified Expertise source not identified


7 THE TEAM

 Yes No (Please fill the fields below)

Expertise available in your company

Technology & Science  Already in To be hired Founder Employee External Junior Senior
Clinician  Already in To be hired Founder Employee External Junior Senior
Marketing  Already in To be hired Founder Employee External Junior Senior
Sales & Business Dev.  Already in To be hired Founder Employee External Junior Senior
Supply Chain & Operations  Already in To be hired Founder Employee External Junior Senior
Finance & Legal  Already in To be hired Founder Employee External Junior Senior
Investor  Already in To be hired Founder Employee External Junior Senior

8 REGISTRATION CONFIRMATION


Executive Summary of the Contest Conditions



Evaluation and selection process

The evaluation and selection process is designed to create an open, accountable, multi-step selection process based solely on the merit of the submitted acceleration projects. All submissions shall receive the same opportunity. No quotas shall be established except that the number of participants selected for any one final will not exceed 25.

Each eligible submitted acceleration project shall be evaluated by a board of expert evaluators, both from within the EITHealth and external partner organizations, nominated by the organizers, such as Cap Digital and Lyonbiopôle.

Intellectual Property and Publication Rights

Entrants retain full and exclusive ownership of their prior information and intellectual property rights.

By submitting their idea entrants warrant that they hold ownership or have legally secured the right to use all elements of the idea and that the idea, materials and information do not infringe any intellectual or other property rights, including patents, of any other persons, companies or other entities. Elements of the submission that are based on rights held by others, such as patents, shall be marked as such in the submission.

Data protection

The sole purpose of the collection of data is to verify the eligibility of the submitted ideas and to identify the best acceleration projects. EIT Health and their Partners Cap Digital and Lyonbiopôle will process the submitted material according to French law.

The evaluation of the submitted acceleration will be done within the Information System of Cap Digital and/or Lyonbiopôle.

Prior to starting the evaluation, evaluators will have to sign a sworn statement confirming :

  • the absence of conflict of interest
  • the use the data solely for the purpose of the evaluation of the acceleration project
  • no sharing with anyone outside of the members of their evalaution committee
  • no export to an unthotorized person of the data in any form

YOUR CONSENT TO THE USE OF PERSONAL DATA
By submitting your application within this competition, you consent that EIT Health, Cap Digital and Lyonbiopôle will collect, transfer, process, store and delete your data under above-mentioned conditions.

Acceptance of Terms and Conditions

By submitting their application form, entrants agree to the Terms and Conditions, which form part of their application. Entrants agree that they have no legal entitlement to a grant or a prize.


The undersigned hereby certify the accuracy of the data transmitted as part of this application.

The undersigned confirms to have read and accepted the contest conditions described herein in the preamble

Signature